Health Security Act of 1993: Hearings Before the Committee on Labor and Human Resources, United States Senate, One Hundred Third Congress, First Session, on Examining the Administration's Proposed Health Security Act, to Establish Comprehensive Health Care for Every American

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Page 65 - Primary health care is essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination.
Page 325 - Secretary, are reasonable and adequate to meet the costs which must be incurred by efficiently and economically operated facilities in order to provide care and services in conformity with applicable state and federal laws, regulations, and quality and safety standards...
Page 450 - Association is the national membership organization representing the approximately 1,200 facilities that provide orthotic and prosthetic (O&P) patient services to the physically challenged throughout the United States. Practitioners employed by AOPA members design and fit orthoses...
Page 173 - Capitation" is a method of payment for health services in which an individual or provider is paid a fixed dollar amount for each person served, regardless of the actual number or nature of services provided to each person in a set period of time Capitation is the characteristic payment method...
Page 320 - Conditions usually requiring rehabilitation include: heart attack, stroke, arthritis, cancer, neurological disorders, joint fractures and replacements, amputation, head injury, spinal cord injury, chronic pain, pulmonary disorders, burns, multiple trauma and congenital or developmental disorders.
Page 456 - The Service Component With any competitive bidding system, the first issue to consider must be a determination of what level of services provided by HME suppliers the government is willing to purchase.
Page 77 - However, an analysis of hospitals' costs per case in the eighth-year of the Medicare PPS (1991), conducted for the AAMC by Lewin-VHI, Inc., showed teaching hospitals on average were 32 percent more costly (excluding direct graduate medical education costs) relative to non-teaching hospitals. Lewin-VHI estimated that a level playing field between teaching and non-teaching hospital inpatient costs per case would have required funding from all payers of $7.0 to $8.3 billion in 1991, depending on the...
Page 74 - The diversity of support for the costs of faculty is probably the most important reason for the variation in Medicare per resident payments. Additionally, there are legitimate differences in educational models depending on the specialty and the institution. Wide variation in per resident amounts exists among hospitals in the availability and amount of support from non-hospital sources, including public subsidies and faculty practice earnings.
Page 294 - York to provide consumers with information. education and counsel about goods, services, health, and personal finance; and to initiate and cooperate with individual and group efforts to maintain and enhance the quality of life for consumers. Consumers Union's income is solely derived ftorn the sale of Consumer Reports.
Page 77 - HSA requires payments to be calculated using inpatient and outpatient "gross receipts." Preliminary results from Lewin- VHTs analysis showed that an all-payer fund for the inpatient and outpatient costs of teaching hospitals would have had to be funded at $9.0 to $10.6 billion in 1991, significantly more than the $3.8 billion planned for CY 2000, to address adequately the costs associated with the academic mission. The AAMC would be pleased to share the results of this analysis with the members of...